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ONS Chemotherapy Course questions and answers

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ONS Chemotherapy Course questions and answers

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  • July 2, 2024
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  • 2023/2024
  • Exam (elaborations)
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ONS Chemotherapy Course
5-fluorouracil - correct answer-Antimetabolite

**leucovorin given concurrently

**take year round photosensitivity precautions

**cardiotoxicity

**Bolus can cause increased mucositis so have patient suck on ice chips for 10-15 min pre
and post. Can also cause hyperpigmentation at peripheral site

**Continuous can cause N/V/D and photosensitivity

adjuvant therapy - correct answer-used after the primary treatments have been completed to
decrease the chance that a cancer will recur

Agranulocytes - correct answer-T lymphocytes, B Lymphocytes, and Monocytes

Alkylating Agents - correct answer-synthetic chemicals containing alkyl groups that attack
DNA, causing strand breaks

Side Effects:
-secondary malignancies
-hypersensitivity reactions
-GI toxicities (N/V/D)
-highly emetogenic
-Renal Toxicity (need BUN and Creatinine prior)

Anthrayclines - correct answer-interfere with enzymes necessary for DNA to replicate

**work in all phases of the cell cycle

**Lifetime dose limits to prevent permanent cardiotoxicity and pulmonary fibrosis

**Daunorubicin, Doxorubicin, Epirubicin, Idarubicin

Antimetabolites - correct answer-function by blocking DNA and RNA growth

*work in the S phase therefore very effective in fast growing tumors

**Vidaza, Xeloda, 5 FU, Cytarabine, Dacogen, Methotrexate

**can cause photosensitivity, GI toxicities, and Hand Foot and Mouth

, **vigorous hydration especially with high tumor burden to prevent TLS

Azacitidine (Vidaza) - correct answer-Antimetabolite

**IV or SC

**IV can cause hypokalemia, weakness, rigors and petechiae.

Bleomycin - correct answer-Nonanthracycline;antitumor antibiotics

**lifetime dose of 400 units for pulmonary fibrosis

**those with lymphoma have a greater risk of anaphylaxis (2 test doses are often done)

**watch for SOB, hyperpigmentation of skin, nail changes, erythema

**protect skin from exposure

**risk for pulmonary toxicity if given oxygen during procedures

Capecitabine (Xeloda) - correct answer-Antimetabolite

**oral 5 FU

**take within 30 minutes of meal with water

**associated with Hand Foot Mouth

**can increase INR with Coumadin

**can increase bilirubin

Carboplatin (Paraplatin) - correct answer-alkylating agent-platinum based

**Hypersensitivity reaction

**harder for those >65

**harder on kidney function

**cause neurotoxicity

**Can cause hearing loss

**first 24 hours nausea

Cell Mediated Immunity - correct answer-Type of immunity produced by T cells that attack
infected or abnormal body cells.

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